PCOS Messages for May, 2000: Re: MARGO and BELLE Re: (Long)I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long

Re: MARGO and BELLE Re: (Long)I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long

From: Belle (anonymous@obgyn.net)
Tue, 9 May 2000 13:02:35 -0500 (CDT)

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Reply: Judy: "THANKS BELLE Re: I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long"

Thanks Judy,

I picked up Margo's post below. (I always start from where I stopped last and work my way up.)

It sounds like you have a very smart mom who did the right think for you. There are things that can influence a lab result that range from simple thing like what you ate the day before, to meds, to how the sample was handled by the techs. I have recently had a case where my son's lab work was mis-read by the nurse. When I asked about the specific numbers, the mistake was realized.

A fasting level of glucose may not show a problem and may infact look normal. Our body tries to keep itself as normal as possible and it may succeed in part. If you look at Margo's results, her fasting levels look very close to normal but after the sugar drink, she is no longer in the normal range. I think that she is one of the most classic cases of Insulin Resistance that we have seen on this board. I do not, of course have her lab's normal ranges for insulin but I would be very interested in hearing what her dr has to say about this.

What we need are the *right* tests to determine if we have a problem. Tests in themselves are not enough. I hope your dr discusses the exact numbers with you. It seems that many women with PCOS are in the high normal range. This is why many drs use the test in combination with the physical appearance.

At Mon, 8 May 2000, Judy wrote:

>BELLE:
>I truly hope you don't think I'm rude for flagging you on this message:
>You simply are such a voice of Wisdom (capital "W" there) that I'm
>hoping you might have mercy and offer some insight.
>
>Margo has voiced something which has frustrated me as well, and which
>I've had similar experiences with. Even when I've felt my worst, blood
>tests have always come back marked "normal" and I've always wondered how
>the heck it could be. (As I was a child I had terrible hypoglycemic
>edisodes on a regular basis. My mother took me for a blood test and it
>came back "normal: NOT hypoglycemic." (Could have fooled me: I spent
>more time cold-sweating, shaking and lying down than any kid should.
>Only when my mother basically *ignored* the "normal" diagnosis, took
>charge, and treated me like a hypoglycemic did I improve. SHE taught
>how to stabilize my blood sugar: The doctor dismissed us.) I wish I
>could say that was an isolated incident, but as an adult--with blatant
>PCOS symptoms-- my PCOS bloodwork comes back "normal." Just last month,
>I had a standard blood test (not GTT, but one which nonetheless required
>a 12 hour fast): I was feeling genuinely ill by the time of the blood
>draw: shaky, weak, moody, foggy-brained and freezing. I was so "out of
>fuel" that my nails were actually purple, and the nurse commented on how
>"icy" I was. Crappy as I felt, I was excited: I thought, "This is
>perfect! Now they'll finally see what I've been telling them about!!"
>The blood work--everything from thyroid to glucose level-- came back in
>"normal" range.
>
>Can you help us understand this?? I know there must be a logical reason,
>but when the one feels this ill and sees a "normal" stamp, I'm sure you
>can understand our incredulous reactions. I'm struggling to retain some
>semblance of faith in this diagnostic tool...
>
>Thanks in advance for taking the time to read this, Belle! Please, I beg
>you, educate me and Margo. :=)
>
>--
>Judy

-- Hope this helps,

Belle

Next message: Sharon: "Could I have PCOS?"
Previous message: Belle: "Re: I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long"
In reply to: Judy: "MARGO and BELLE Re: (Long)I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long"
Next in thread: Margo: "Re: MARGO and BELLE ab Results from IGTT are normal??? VERY long"
Reply: Margo: "Re: MARGO and BELLE ab Results from IGTT are normal??? VERY long"
Reply: Judy: "THANKS BELLE Re: I am SO CONFUSED and FRUSTRATED Lab Results from IGTT are normal??? VERY long"

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